NR 509 EXAM SCRIPT FINAL 2026 QUESTIONS
WITH FULL SOLUTIONS
◉ Normal CN assessment Answer: All functions above are intact,
symmetrical, and appropriate for age.
◉ Abnormal CN assessment Answer: Any loss, asymmetry, or
dysfunction as described above signals possible nerve damage or
neurological disorder.
◉ Moro Reflex Answer: A primitive reflex seen in infants; Normal
finding: When startled, an infant will extend arms and legs, then
quickly bring them back in.
◉ Abnormal Moro Reflex Answer: Persistence of the Moro reflex
beyond infancy, or absence in a newborn, may indicate neurological
problems.
◉ Babinski Sign Answer: A test of the plantar reflex, often used to
assess upper motor neuron function; Normal finding: In adults and
older children, stroking the sole of the foot causes toes to curl
downward (plantar flexion).
,◉ Abnormal Babinski Sign Answer: If the big toe extends upward
and the other toes fan out (positive Babinski sign), this is normal in
infants up to about 2 years old, but abnormal in older children and
adults, suggesting a possible central nervous system disorder.
◉ Normal Pregnancy Changes Answer: Melasma, nasal congestion,
gingival enlargement, symmetric thyroid enlargement, upward and
leftward shift of the apical impulse, marked venous pattern on
breasts, darkened nipples/areolae, colostrum in late pregnancy,
purplish striae and linea nigra on the abdomen, gravid uterus with
increasing fundal height, relaxation/enlargement of vaginal and
vulvar structures.
◉ Abnormal Pregnancy Changes Answer: Weight loss, hypertension
(may indicate preeclampsia), dyspnea or signs of cardiomyopathy,
signs of gestational diabetes, physical violence or depression.
◉ Preeclampsia Symptoms Answer: Hypertension, proteinuria,
edema, headache, visual disturbances, right upper quadrant or
epigastric pain, sudden weight gain.
◉ Preeclampsia Management Answer: Take a comprehensive health
and obstetric history, assess for risk factors, monitor blood pressure,
weight, and screen for gestational diabetes, perform regular
abdominal assessments, provide education on nutrition,
breastfeeding, and postpartum contraception.
, ◉ EDD (Estimated Date of Delivery) Answer: Calculated using
Naegele's Rule: Identify the first day of the last menstrual period
(LMP). Subtract three months. Add seven days. Add one year.
◉ Naegele's Rule Answer: A method to calculate the estimated date
of delivery by adjusting the last menstrual period.
◉ Speculum Examination Answer: Used to inspect the vagina and
cervix, assessing for color, shape, closure of the os, and any lesions
or discharge.
◉ Normal findings in Speculum Examination Answer: Cervix
appears pink and smooth; vaginal walls are pink with rugae and no
abnormal discharge.
◉ Abnormal findings in Speculum Examination Answer: Lesions,
masses, abnormal discharge, or color changes.
◉ Bimanual Examination Answer: Involves palpation of the cervix,
uterus, ovaries, and adnexa to assess size, shape, consistency, and
position of the uterus.
WITH FULL SOLUTIONS
◉ Normal CN assessment Answer: All functions above are intact,
symmetrical, and appropriate for age.
◉ Abnormal CN assessment Answer: Any loss, asymmetry, or
dysfunction as described above signals possible nerve damage or
neurological disorder.
◉ Moro Reflex Answer: A primitive reflex seen in infants; Normal
finding: When startled, an infant will extend arms and legs, then
quickly bring them back in.
◉ Abnormal Moro Reflex Answer: Persistence of the Moro reflex
beyond infancy, or absence in a newborn, may indicate neurological
problems.
◉ Babinski Sign Answer: A test of the plantar reflex, often used to
assess upper motor neuron function; Normal finding: In adults and
older children, stroking the sole of the foot causes toes to curl
downward (plantar flexion).
,◉ Abnormal Babinski Sign Answer: If the big toe extends upward
and the other toes fan out (positive Babinski sign), this is normal in
infants up to about 2 years old, but abnormal in older children and
adults, suggesting a possible central nervous system disorder.
◉ Normal Pregnancy Changes Answer: Melasma, nasal congestion,
gingival enlargement, symmetric thyroid enlargement, upward and
leftward shift of the apical impulse, marked venous pattern on
breasts, darkened nipples/areolae, colostrum in late pregnancy,
purplish striae and linea nigra on the abdomen, gravid uterus with
increasing fundal height, relaxation/enlargement of vaginal and
vulvar structures.
◉ Abnormal Pregnancy Changes Answer: Weight loss, hypertension
(may indicate preeclampsia), dyspnea or signs of cardiomyopathy,
signs of gestational diabetes, physical violence or depression.
◉ Preeclampsia Symptoms Answer: Hypertension, proteinuria,
edema, headache, visual disturbances, right upper quadrant or
epigastric pain, sudden weight gain.
◉ Preeclampsia Management Answer: Take a comprehensive health
and obstetric history, assess for risk factors, monitor blood pressure,
weight, and screen for gestational diabetes, perform regular
abdominal assessments, provide education on nutrition,
breastfeeding, and postpartum contraception.
, ◉ EDD (Estimated Date of Delivery) Answer: Calculated using
Naegele's Rule: Identify the first day of the last menstrual period
(LMP). Subtract three months. Add seven days. Add one year.
◉ Naegele's Rule Answer: A method to calculate the estimated date
of delivery by adjusting the last menstrual period.
◉ Speculum Examination Answer: Used to inspect the vagina and
cervix, assessing for color, shape, closure of the os, and any lesions
or discharge.
◉ Normal findings in Speculum Examination Answer: Cervix
appears pink and smooth; vaginal walls are pink with rugae and no
abnormal discharge.
◉ Abnormal findings in Speculum Examination Answer: Lesions,
masses, abnormal discharge, or color changes.
◉ Bimanual Examination Answer: Involves palpation of the cervix,
uterus, ovaries, and adnexa to assess size, shape, consistency, and
position of the uterus.
